Registration Page

Kankakee Valley Piano Camp

At Olivet Nazarene University
In Bourbonnais, IL

Registration - Click Here to download the health form.

Registration deadline is May 20th (chamber/ensemble due April 20th)
$30 late fee will be added for any late registrations.
After submitting the following information, you will receive a confirmation and invoice at which time you can mail a check or pay using PAYPAL. Registration is not complete until we receive your payment.

Parent's Name:
Street:
City:
State:
Zip:
Phone:
E-mail address:
Attending Parent:

Do we have your permission to put your name and address in a camp directory?
Yes
No

Do we have your permission to use your photo for the camp website, brochures, etc.?
Yes
No

Student Information
Student 1
Name:              Age by 7/19:       T-Shirt Size:
Instrument: Current Piece/Book:
Home Teacher: Teacher Phone:
Camp Options - Choose Only One:
Option A - $295:
Option B - $255:

Camp Extras:
Jazz Ensemble (Fee - $50):    Yes No
Piano Ensemble (Fee - $50): Yes No
Piano Chamber (Fee - $85):    Yes No
Voice Lesson (Fee - $80):       Yes No
Extra Class (Fee - $40)**:          Yes No
**Students over 8 years old may add a sixth hour

Student 2 (Please skip this section if you are only registering one student)
Name:         Age by 7/19: T-Shirt Size:
Instrument: Current Piece/Book:
Home Teacher: Teacher Phone:
Camp Options - Choose Only One:
Option A - $295:
Option B - $255:

Camp Extras:
Jazz Ensemble (Fee - $50):    Yes No
Piano Ensemble (Fee - $50): Yes No
Piano Chamber (Fee - $85):    Yes No
Voice Lesson (Fee - $80):       Yes No
Extra Class (Fee - $40)**:          Yes No
**Students over 8 years old may add a sixth hour

Student 3 (Please skip this section if you are only registering one or two students)
Name:            Age by 7/19:         T-Shirt Size:
Instrument: Current Piece/Book:
Home Teacher: Teacher Phone:
Camp Options - Choose Only One:
Option A - $295:
Option B - $255:

Camp Extras:
Jazz Ensemble (Fee - $50):    Yes No
Piano Ensemble (Fee - $50): Yes No
Piano Chamber (Fee - $85):    Yes No
Voice Lesson (Fee - $80):       Yes No
Extra Class (Fee - $40)**:          Yes No
**Students over 8 years old may add a sixth hour

Class Selection
To assist in class placement students may indicate which classes they most prefer by ranking the following classes. This applies to students ages 11 and up only. Students ages 4-10 will be placed in Orff, Art, Mime Theater and Musicianship classes. See Class Descriptions.

Classes	Student 1	Student 2	Student3
Orff
Art ($12 supplies fee added to invoice)
Performing Body
Handbells
Music Literature
Keyboard Musicianship
Vocal Techniques
Vocal Ensemble
Chamber*
Piano Ensemble*
Jazz Ensemble*

*Classes with an asterisk require an extra fee (see student registration area of form)

Parent/Sibling Option
Enroll student's parent or sibling in class? ($40 fee): Yes No
Name: Age by 7/19:
Class:

Housing
Please select how many people you would like to register for each housing option. Ignore this section if you plan to arrange your own accommodations.
Adult Campus Housing (Ages 13-up, $100/person):
Child Campus Housing (Ages 4-12, $50/person):
Teen Housing, Meals, and Fees ($210/person):
Teen Activity Fee (for those not staying in teen dorm, $20/person):
Sunday Night Housing (Ages 13-up, $25/person):
Sunday Night Housing (Ages 4-12, $13/person):

*make sure you have clicked "Get Sub-Total" for all
enrolled students BEFORE you get the grand total